THE OAKS REHABILITATION AND HEALTHCARE CENTER
Address
3716 HIGHWAY 39 NORTH
MERIDIAN, MS 39301
(601) 482-7164
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 74
- Certified Beds: 82
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Limited Liability Company
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Oaks Rehabilitation and Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 19.1% |
ADL Index Range: 6-10 | 26.8% |
ADL Index Range: 0-5 | 10.8% |
Total Percent: | 56.6% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 25.3% |
ADL Index Range: 6-10 | 0.1% |
ADL Index Range: 0-5 | 5.0% |
Total Percent: | 30.4% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 1.8% |
ADL Index Range: 6-10 | 1.4% |
ADL Index Range: 0-5 | 0.2% |
Total Percent: | 3.4% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 1.5% |
ADL Index Range: 6-10 | 3.0% |
ADL Index Range: 0-5 | 1.3% |
Total Percent: | 5.8% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16 - No Signs of depression | 0.3% |
ADL Index Range: 6-10 - No Signs of depression | 0.3% |
Total Percent: | 0.6% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14 - Signs of depression | 1.5% |
ADL Index Range: 11-14 - No Signs of depression | 1.5% |
Total Percent: | 3.0% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
ADL Index Range: 0-1 - Less restorative nursing | 0.1% |
Total Percent: | 0.1% |
Rating Details For The Oaks Rehabilitation and Healthcare Center
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 45 Minutes | 1 Hour and 14 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 51 Minutes | 42 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 1 Minutes | 2 Hours and 17 Minutes |
Total Licensed Nurse Hours | 1 Hour and 36 Minutes | 1 Hour and 56 Minutes |
Total Nurse Hours | 3 Hours and 37 Minutes | 4 Hours and 13 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Mississippi are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Mississippi Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 80% | 94% |
Long-Term Stay Deficiencies
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 11% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 7% | 9% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 8% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 5% | 4% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 6% | 11% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 2% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 44% | 49% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 25% | 15% |
Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 7% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 4% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 7% | 14% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 9% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 59% | 86% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 62% | 87% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 6% | 12% |
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 14% | 14% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/06/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Keep Sound Levels Comfortable.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
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Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
Action Taken | Date | Amount |
Civil Money Penalty (CMP) | 08/07/2008 | $5,720 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for The Oaks Rehabilitation and Healthcare Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Formal Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Resident Rights
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that The Oaks Rehabilitation and Healthcare Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/06/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
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Smoke Compartmentation and Control
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
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